Bicycle Commuter Registry Form

Please let us know how we can make the form better and what information you would like to see in our bicycle commute registry 

The results of this form will be posted on the BikeCommute.Com web page. If you wish to be anonymous  enter your first name and put the word anonymous or leave blank the last name field. The email field, as all fields on this form are optional. Thank You for registering as a Bicycle Commuter on www.bikecommute.com.

First Name

Last Name

City or Town 

 State or Country

Email Address

Commute Distance How Long  A Bike Commuter Years

Months

How Often do you commute by bike

 

   Tell us about your commute routes

   If you wish, tell us about yourself

   If you have any bicycle commuting stories you want to share with us

   Enter additional comments below

   Thanks for registering with bikecommute.com 



Copyright © 2000 bikecommute.com. All rights reserved.
Revised: June 15, 2008 .